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Impotence

Kidney Yang deficiency

Clinical Manifestations

  • Cold testes, soreness and weakness in the lower back and knees.
  • Poor memory, hearing and hair loss, loose teeth, aversion to cold and cold extremities
  • Qi deficiency symptoms
  • T: Pale and swollen with teeth marks.
  • P: Deep thready, weak, especially in Kidney positions.

Etiology

  • Age, too much sexual activity, constitutional weakness

Treatment principle

  • Warm and stimulate Kidney Yang

Formula

  • You Gui Yin

Heart/Spleen deficiency

Psychogenic, in Western terms

Clinical Manifestations

  • Palpitations, shortness of breath, emaciation, insomnia, restlessness, vivid dreams, fatigue, indigestion, bloating, loose stools
  • T: Pale
  • P: Thready

Etiology

  • Thinking or worrying too much creates the Spleen Zi deficiency which leads to Qi and Blood deficiency which creates a Heart Blood deficiency leading to various neurosis. Plus, the Qi and blood can't support the essence, which leads to impotence.

Treatment Principle

  • Tonify Heart and Spleen

Formula

  • Gui Pi Tang + Kidney tonic herbs which will warm the Spleen such as Bu Gu Zhi, Ba Ji Tian, Xian Ma.

Impotence due to fear

Clinical Manifestations

  • frustration, easily panicked, insomnia, vivid dreams and nightmares, erection up until intercourse begins.
  • Tongue and Pulse can be normal

Treatment Principle

  • Calm Shen

Formula

  • Ting Zhi Wan + Shi Chang Pu, Ren Shen, Yuan Zhi

 


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